Individual
MANJULA ROBERT BATHULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
704 W BEEBE CAPPS EXPY, SEARCY, AR 72143-6304
(501) 279-7727
(501) 279-7728
Mailing address
704 W BEEBE CAPPS EXPY, SEARCY, AR 72143-6304
(501) 279-7727
(501) 279-7728
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A380
AR
Other
Enumeration date
06/02/2011
Last updated
06/02/2011
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